im
HIV - 01-02-08 12:59
A 65-year-old man presents to the emergency department complaining of palpitations that started 20 minutes ago. He states he had a "heart attack" one year ago. He smoked for twenty years and has had diabetes for ten years. He watches his diet and takes aspirin and atorvastatin. On physical examination, you find a heart rate of 145/min, a blood pressure of 148/85 mm Hg, and a respiratory rate of 22/min. He has intermittent waves in his jugular veins consistent with canon "a" waves, and his lungs are clear. The S1 varies in intensity. The EKG shows that the QRS complex is approximately 0.16 seconds in duration, with dissociation of the p waves from the QRS complexes. All the QRS complexes are positively deflected in all leads. How would you treat this gentleman?
(A) Verapamil
(B) Cardioversion
(C) Adenosine
(D) Insert a pacing catheter
(E) Procainamide
HIV - 01-02-08 12:59
A 65-year-old man presents to the emergency department complaining of palpitations that started 20 minutes ago. He states he had a "heart attack" one year ago. He smoked for twenty years and has had diabetes for ten years. He watches his diet and takes aspirin and atorvastatin. On physical examination, you find a heart rate of 145/min, a blood pressure of 148/85 mm Hg, and a respiratory rate of 22/min. He has intermittent waves in his jugular veins consistent with canon "a" waves, and his lungs are clear. The S1 varies in intensity. The EKG shows that the QRS complex is approximately 0.16 seconds in duration, with dissociation of the p waves from the QRS complexes. All the QRS complexes are positively deflected in all leads. How would you treat this gentleman?
(A) Verapamil
(B) Cardioversion
(C) Adenosine
(D) Insert a pacing catheter
(E) Procainamide
Page 1
#1
Re: im TheOne - 01-02-08 15:54 "dissociation of the p waves from the QRS complexes" isn't that a 3rd degree heart block? if it was then it's D) Insert a pacing catheter.
#2
Re: im InSitu - 01-02-08 21:33 
posted by TheOne on 01-02-08 15:54
"dissociation of the p waves from the QRS complexes" isn't that a 3rd degree heart block? if it was then it's D) Insert a pacing catheter.
"dissociation of the p waves from the QRS complexes" isn't that a 3rd degree heart block? if it was then it's D) Insert a pacing catheter.
sounds like it
#5
Re: im babbu5508 - 07-07-10 00:41 (D) Insert a pacing catheter ...dissociation of the p waves from the QRS complexes and wide QRS complexes...3rd degree heart block
Page 1